DOI: 10.32322/jhsm.1974732 ISSN: 2636-8579

Postoperative pain and thermal sensitivity after direct pulp capping, partial pulpotomy, and full pulpotomy in teeth with symptomatic irreversible pulpitis: a prospective clinical study

Abdurrahman Yalçın, Simge Gümüş Ayaz
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Aims: This prospective clinical study aimed to compare postoperative pain and thermal sensitivity after direct pulp capping, partial pulpotomy, and full pulpotomy in mature permanent molars diagnosed with symptomatic irreversible pulpitis.Methods: Ninety patients with symptomatic irreversible pulpitis were included and allocated into three groups according to the vital pulp therapy performed: direct pulp capping, partial pulpotomy, or full pulpotomy (n=30 each). All procedures were performed under rubber dam isolation using an operating microscope. A 2.5% sodium hypochlorite solution was used for hemostasis and cavity disinfection. The exposed pulp tissue was covered with Endocem MTA, followed by resin-modified glass ionomer cement, and all teeth were restored with composite resin in the same session. Pain and thermal sensitivity were recorded preoperatively and at 12 hours, 24 hours, and 7 days postoperatively using a Visual Analog Scale (VAS). Intergroup comparisons were performed using the Kruskal-Wallis H test, and intragroup changes over time were analyzed using the Friedman test. Statistical significance was set at p0.05). However, thermal VAS scores differed significantly among the groups (p

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